| NPI | 1194952648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 270011) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 55168) |
| 207W00000X Ophthalmology (Licence: DC MD043128) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2022-07-21 |